| NPI | 1417657545 |
|---|---|
| Former Name | JAMIE MAE WALGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-05-14 |